Application of family-centered care in cardiac surgery: a scoping review

Abstract Background Family-centered care (FCC) has been widely implemented in various medical settings, its application in cardiac surgery remains underexplored. Given the complexity of cardiac surgery and the significant impact on both patients and families, understanding FCC’s role in this context...

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Main Authors: Duo Zhang, Haoyang Zheng, Yong Gan, Xichen Chai, Ying Zeng, Xiaoyan Yu, Wencan Cheng, Ya Zhao, Zelin Chen, Yanrong Zhou
Format: Article
Language:English
Published: BMC 2025-03-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-025-02415-8
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author Duo Zhang
Haoyang Zheng
Yong Gan
Xichen Chai
Ying Zeng
Xiaoyan Yu
Wencan Cheng
Ya Zhao
Zelin Chen
Yanrong Zhou
author_facet Duo Zhang
Haoyang Zheng
Yong Gan
Xichen Chai
Ying Zeng
Xiaoyan Yu
Wencan Cheng
Ya Zhao
Zelin Chen
Yanrong Zhou
author_sort Duo Zhang
collection DOAJ
description Abstract Background Family-centered care (FCC) has been widely implemented in various medical settings, its application in cardiac surgery remains underexplored. Given the complexity of cardiac surgery and the significant impact on both patients and families, understanding FCC’s role in this context is essential to improving patient outcomes and family well-being. Objectives To identify the current state of the application of FCC in the families of cardiac surgery. Methods This study followed Arksey and O’Malley’s methodology and the PRISMA extension for Scoping Reviews. A systematic search was conducted across ten databases between July and August 2024. Two researchers independently retrieved literature, extracted data, and cross-checked findings following predefined inclusion and exclusion criteria. The results were organized and synthesized using a structured spreadsheet. Results A total of 23 studies were included, 95.65% of which were quantitative, spanning nine countries. FCC interventions focused on collaboration, communication, negotiation, and support, primarily delivered by healthcare professionals. The main intervention formats were training sessions (100.00%), written materials (71.43%), and visual media (42.86%). FCC was linked to improved psychological well-being and greater satisfaction, with anxiety (52.38%) being the most commonly assessed outcome using validated scales. Qualitative findings highlighted the importance of FCC in patient recovery, emphasizing the need for systematic support to alleviate caregiving burden. Conclusions This scoping review highlights the core characteristics and interventions of FCC for cardiac surgery patients, emphasizing the need for a multidisciplinary approach. While FCC has shown benefits in improving emotional well-being and satisfaction, there is a lack of robust longitudinal studies and objective outcome measures. Future research should focus on interactive, personalized interventions, integrate technology, and include a broader range of outcome indicators to better assess FCC’s clinical effectiveness.
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spelling doaj-art-090ab60c7cf2402f9d4dba180e128dc22025-08-20T01:57:44ZengBMCEuropean Journal of Medical Research2047-783X2025-03-0130111210.1186/s40001-025-02415-8Application of family-centered care in cardiac surgery: a scoping reviewDuo Zhang0Haoyang Zheng1Yong Gan2Xichen Chai3Ying Zeng4Xiaoyan Yu5Wencan Cheng6Ya Zhao7Zelin Chen8Yanrong Zhou9Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Traditional Chinese Medicine, Peking University Third HospitalDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologySchool of Nursing, Sun Yat-Sen UniversityDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Virology, Research Institute for Microbial Diseases, Osaka UniversityDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Family-centered care (FCC) has been widely implemented in various medical settings, its application in cardiac surgery remains underexplored. Given the complexity of cardiac surgery and the significant impact on both patients and families, understanding FCC’s role in this context is essential to improving patient outcomes and family well-being. Objectives To identify the current state of the application of FCC in the families of cardiac surgery. Methods This study followed Arksey and O’Malley’s methodology and the PRISMA extension for Scoping Reviews. A systematic search was conducted across ten databases between July and August 2024. Two researchers independently retrieved literature, extracted data, and cross-checked findings following predefined inclusion and exclusion criteria. The results were organized and synthesized using a structured spreadsheet. Results A total of 23 studies were included, 95.65% of which were quantitative, spanning nine countries. FCC interventions focused on collaboration, communication, negotiation, and support, primarily delivered by healthcare professionals. The main intervention formats were training sessions (100.00%), written materials (71.43%), and visual media (42.86%). FCC was linked to improved psychological well-being and greater satisfaction, with anxiety (52.38%) being the most commonly assessed outcome using validated scales. Qualitative findings highlighted the importance of FCC in patient recovery, emphasizing the need for systematic support to alleviate caregiving burden. Conclusions This scoping review highlights the core characteristics and interventions of FCC for cardiac surgery patients, emphasizing the need for a multidisciplinary approach. While FCC has shown benefits in improving emotional well-being and satisfaction, there is a lack of robust longitudinal studies and objective outcome measures. Future research should focus on interactive, personalized interventions, integrate technology, and include a broader range of outcome indicators to better assess FCC’s clinical effectiveness.https://doi.org/10.1186/s40001-025-02415-8Family-centered careCardiac surgeryScoping review
spellingShingle Duo Zhang
Haoyang Zheng
Yong Gan
Xichen Chai
Ying Zeng
Xiaoyan Yu
Wencan Cheng
Ya Zhao
Zelin Chen
Yanrong Zhou
Application of family-centered care in cardiac surgery: a scoping review
European Journal of Medical Research
Family-centered care
Cardiac surgery
Scoping review
title Application of family-centered care in cardiac surgery: a scoping review
title_full Application of family-centered care in cardiac surgery: a scoping review
title_fullStr Application of family-centered care in cardiac surgery: a scoping review
title_full_unstemmed Application of family-centered care in cardiac surgery: a scoping review
title_short Application of family-centered care in cardiac surgery: a scoping review
title_sort application of family centered care in cardiac surgery a scoping review
topic Family-centered care
Cardiac surgery
Scoping review
url https://doi.org/10.1186/s40001-025-02415-8
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